Rent West - Rental Application

Application Form

Community

Property

Looking for:

1 Bedroom 2 Bedroom Studio

Primary Applicant

Name

Phone

Date of Birth

Email:

Drivers License

Province

Expires

Co-Applicant

Name

Phone

Date of Birth

Email:

Applicant Additional Details

Adults

Children

Any pets?

Yes No

Describe

Automobile?

Smoke or Vape?

Tobacco Canabis Both None

Rental History

Current Landlord

Phone:

Email:

How Long?

years

Rental Address

Reason leaving

Prev Landlord

Phone:

Email:

How Long?

Rental Address

Have you ever been evicted or asked to a tenancy?

Yes No

Explain

Have you ever broken a rental agreement or lease?

Yes No

Explain

Have you ever withheld or refused to pay rent?

Yes No

Explain

Are there other factors that may prevent payment of rent in full on the first of every month?

Yes No

Explain

Have you ever filed a petition for bankruptcy?

Yes No

Has anyone in your household been convicted or an Indictable or Summary offense?

Yes No

Do you plan to conduct any commercial business from the residence?

Yes No

Employment and Income

Employer

Phone

Position

Income

How long?

Employer's Address

Other income sources

Fixed Income

If Other

Banking

Name of Bank

Branch

Type of Account

References

Reference #1

Professional / Work Reference

Phone

Reference #2

Rental - previous landlord

Phone

Reference #3

Personal Reference - no relatives

Phone

Where did you find out about our rental suite?

Tell us about yourself

I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all that is attested within this application for tenant screening. I understand that the landlord may terminate any rental agreement entered into for any misrepresentations made above.